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BAPTIST PHYSICIANS SOUTHEAST, INC

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Company Details

Name: BAPTIST PHYSICIANS SOUTHEAST, INC
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 16 Aug 2007 (18 years ago)
Organization Date: 16 Aug 2007 (18 years ago)
Last Annual Report: 09 Jun 2014 (11 years ago)
Organization Number: 0671435
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 2701 EASTPOINT PARKWAY, LOUISVILLE, KY 40223
Place of Formation: KENTUCKY

Chairman

Name Role
TOM DAVIS Chairman

President

Name Role
LARRY GRAY President

Director

Name Role
GUY JONES Director
TOM DAVIS Director
JOHN LOGAN Director
GUY JONES Director
JERRY JACKSON Director
TOM DAVIS Director
TOMMY SMITH Director

Incorporator

Name Role
JANET M NORTON Incorporator

Secretary

Name Role
JANET M NORTON Secretary

Treasurer

Name Role
CARL G HERDE Treasurer

Vice President

Name Role
ISAAC J MYERS II MD Vice President

Registered Agent

Name Role
JANET M NORTON Registered Agent

Unique Entity ID

CAGE Code:
790K1
UEI Expiration Date:
2015-11-25

Business Information

Doing Business As:
BAPTIST HEALTH CARE SYSTEM
Activation Date:
2014-12-01
Initial Registration Date:
2014-11-19

Commercial and government entity program

CAGE number:
790K1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-28
CAGE Expiration:
2029-10-28

Contact Information

POC:
TRACY LEE-HUBER

National Provider Identifier

NPI Number:
1982954020

Authorized Person:

Name:
KATHERINE P SMITH
Role:
REVENUE CYCLE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
5022382835

Former Company Names

Name Action
WESTERN BAPTIST MEDICAL VENTURES, INC. Merger
BAPTIST MEDICAL ASSOCIATES, INC. Old Name
BAPTIST PHYSICIANS SOUTHEAST, INC Merger
BAPTIST PHYSICIANS LEXINGTON, INC. Merger

Assumed Names

Name Status Expiration Date
BAPTIST SOUTHEAST ORTHOPAEDICS Inactive 2020-04-06
BAPTIST PRIMARY CARE OF LONDON Inactive 2019-10-05
BAPTIST SURGICAL SPECIALISTS Inactive 2018-12-05
BAPTIST HEALTH PULMONARY & CRITICAL CARE Inactive 2018-10-24
BAPTIST HEALTH SURGICAL SPECIALISTS LONDON Inactive 2018-10-24

Filings

Name File Date
Name Renewal 2014-09-26
Annual Report 2014-06-09
Name Renewal 2014-04-15
Name Renewal 2013-11-22
Certificate of Assumed Name 2013-10-24

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBMANNB210067
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
4817.59
Base And Exercised Options Value:
4817.59
Base And All Options Value:
4817.59
Awarding Agency Name:
Department of Justice
Performance Start Date:
2013-09-13
Description:
IGF::OT::IGF OUTSIDE MEDICAL CARE
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
DJBMANNB210060
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
3733.07
Base And Exercised Options Value:
3733.07
Base And All Options Value:
3733.07
Awarding Agency Name:
Department of Justice
Performance Start Date:
2013-08-30
Description:
IGF::OT::IGF OUTSIDE MEDICAL CARE
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE

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Sources: Kentucky Secretary of State